CAJ | 학술논문

目的：回顾分析超声引导下经皮注射凝血酶治疗肢体医源性假性动脉瘤的临床价值。方法经超声引导，采用PTC 22G细针对9例肢体医源性假性动脉瘤内注射凝血酶，在高频探头彩色多普勒超声监视下观察瘤体内血栓形成的全过程，注入凝血酶量与瘤体大小成正比例关系，一般不超过500U，当瘤体内血栓完全填塞后抽针，并监测病变动脉远端血供情况。结果9例肢体医源性假性动脉瘤均一次治疗成功，并于术后1d、7d、30d三次复查，瘤体无再充血增大，病变动脉远端无栓塞。结论超声引导下经皮注射凝血酶治疗肢体医源性假性动脉瘤操作简便、安全有效，已成治疗该病的首选方法。
목적：회고분석초성인도하경피주사응혈매치료지체의원성가성동맥류적림상개치。방법경초성인도，채용PTC 22G세침대9례지체의원성가성동맥류내주사응혈매，재고빈탐두채색다보륵초성감시하관찰류체내혈전형성적전과정，주입응혈매량여류체대소성정비례관계，일반불초과500U，당류체내혈전완전전새후추침，병감측병변동맥원단혈공정황。결과9례지체의원성가성동맥류균일차치료성공，병우술후1d、7d、30d삼차복사，류체무재충혈증대，병변동맥원단무전새。결론초성인도하경피주사응혈매치료지체의원성가성동맥류조작간편、안전유효，이성치료해병적수선방법。
Objective To evaluate the clinical results of the technique to treat periphery iatrogenic pseudoaneurysm with direct thrombin injection under sonographic guidance. Methods With sonographic guidance, 9 patients who had periphery iatrogenic pseudoaneurysm underwent treatment by direct thrombin injection. Under high frequency probe color Doppler, thrombin which total dose<500 U was injected into the pseudoaneurysm lumen using 22-gauge spinal pin. After thrombosis extracted spinal needle from the pseudoaneurysm lumen. Distal pulses were monitored. Results All cases were operated successfully after the first procedure. No artery embolism complication was found, follow up all patients after surgery 1d, 7d, 30d. Conclusion For the treatment of iatrogenic pseudoaneurysms, thrombin injection under ultrasonic guidance is a safe and effective way of therapy.